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Question | Answer |
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Form Name | Mlp 01213 |
Form Length | 4 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 1 min |
Other names | sss loan form, sss online loan, sss loan application, loan sss form |
Republic of the Philippines
SOCIAL SECURITY SYSTEM
MEMBER LOAN APPLICATION
THIS FORM MAY BE REPRODUCED AND IS NOT FOR SALE. THIS CAN ALSO BE DOWNLOADED THRU THE SSS WEBSITE AT www.sss.gov.ph.
PLEASE READ THE INSTRUCTIONS AND REMINDERS AT THE BACK OF THE FORM AND THE ATTACHED TERMS AND CONDITIONS BEFORE ACCOMPLISHING THIS FORM. PRINT ALL INFORMATION IN CAPITAL LETTERS AND USE BLACK INK ONLY.
SS NUMBER
PART I - TO BE FILLED OUT BY
A. PERSONAL DATA
COMMON REFERENCE NUMBER (IF ANY) |
DATE OF BIRTH (MMDDYYYY) |
TAX IDENTIFICATION NUMBER (IF ANY) |
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NAME |
(LAST NAME) |
(FIRST NAME) |
(MIDDLE NAME) |
(SUFFIX) |
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LOCAL ADDRESS |
(RM./FLR./UNIT NO. & BLDG. NAME) |
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(HOUSE/LOT & BLK. NO.) |
(STREET NAME) |
(SUBDIVISION) |
(BARANGAY/DISTRICT/LOCALITY) |
(CITY/MUNICIPALITY) |
(PROVINCE) |
ZIP CODE
TELEPHONE NUMBER (AREA CODE + TEL. NO.)
MOBILE/CELLPHONE NUMBER
FOREIGN ADDRESS (IF APPLICABLE)
COUNTRY
ZIP CODE
B. LOAN DATA
LOAN TYPE
Salary
Calamity
Emergency
Others __________________________
AMOUNT APPLIED FOR
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PREFERRED MODE OF PAYMENT |
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Check |
Savings/Current Account |
Unified |
Cash Card |
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NAME OF BANK |
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SAVINGS/CURRENT ACCOUNT/CASH CARD NUMBER |
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BANK BRANCH AND ADDRESS
BRSTN (TO BE FILLED OUT BY SSS)
C. CERTIFICATION, AGREEMENT AND PROMISSORY NOTE
1.I certify that the information provided in this form are true and correct.
2.I agree with the TERMS AND CONDITIONS of the __________________ loan attached to this application.
3.I unconditionally promise to pay the Social Security System this loan subject to the TERMS AND CONDITIONS of the
____________________ attached to this loan application.
PRINTED NAME |
SIGNATURE |
If member cannot sign, affix fingerprints. Please read Instruction No. 4 of the form.
Below are the witnesses to fingerprinting:
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PRINTED NAME |
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ADDRESS & CONTACT NUMBER |
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2) |
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PRINTED NAME |
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SIGNATURE |
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DATE |
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ADDRESS & CONTACT NUMBER |
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RIGHT THUMB
DATE
RIGHT INDEX
PART II - TO BE FILLED OUT BY EMPLOYER (FOR EMPLOYED MEMBER)
A. EMPLOYER DATA
EMPLOYER NUMBER |
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TAX IDENTIFICATION NUMBER (IF ANY) |
TYPE OF EMPLOYER |
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Business |
Household |
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EMPLOYER NAME |
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EMPLOYER ADDRESS |
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(RM./FLR./UNIT NO. & BLDG. NAME) |
(HOUSE/LOT & BLK. NO.) |
(STREET NAME) |
(SUBDIVISION) |
(BARANGAY/DISTRICT/LOCALITY) |
(CITY/MUNICIPALITY) |
(PROVINCE) |
ZIP CODE
TELEPHONE NUMBER (AREA CODE + TEL. NO.)
WEBSITE (FOR BUSINESS EMPLOYER)
B. CERTIFICATION
I certify that the information provided in this form are true and correct. Also, I agree with the TERMS AND CONDITIONS of the
__________________ attached to this loan application.
PRINTED NAME |
SIGNATURE |
POSITION TITLE |
DATE |
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Perforate Here |
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Republic of the Philippines |
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SOCIAL SECURITY SYSTEM |
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MEMBER LOAN APPLICATION |
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ACKNOWLEDGEMENT STUB |
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SS NO./COMMON REFERENCE NO. (IF ANY) |
NAME |
(LAST NAME) |
(FIRST NAME) |
(MIDDLE NAME) |
(SUFFIX) |
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RECEIVED BY |
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SIGNATURE OVER PRINTED NAME |
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POSITION TITLE |
DATE & TIME |
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BRANCH |
PART III - TO BE FILLED OUT BY SSS
RECEIVED AND ENCODED BY
SIGNATURE OVER PRINTED NAME |
DATE & TIME |
BRANCH |
REVIEWED BY
SIGNATURE OVER PRINTED NAME |
DATE & TIME |
INSTRUCTIONS
1.Fill out this form in one (1) copy.
Note: If the "Preferred Mode of Payment is Savings/Current Account or Cash Card or UMID - ATM Card, the following fields shall be filled out if the member opts to avail of the "Salary Loan Release Thru the Bank Program" (upon implementation of the Program.):
-Name of Bank,
-Savings/Current Account/Cash Card Number
-Bank Branch and Address
2.Always indicate "N/A" or "Not Applicable", if the required data is not applicable.
3.Present valid identification cards/documents. Refer to attached "List of Filer's Valid Identification (ID) Cards/Documents".
4.If member cannot sign, witnesses to fingerprinting shall be as follows: Filed by
▪SSS receiving personnel who shall affix his/her signature on the portion provided in Part
Filed by authorized representative/employer/company representative/employer's representative/household employer's representative
▪Two (2) witnesses. One (1) witness is the authorized representative/employer/company representative/employer's representative/household employer's representative himself and the other one (1) could be any person. Both should affix their signatures and indicate their addresses and contact numbers on the portions provided in Part
5.The signatory in Part
REMINDER
Verification of status may be made thru the SSS Website at www.sss.gov.ph or contact our Call Center at
WARNING
ANY PERSON WHO MAKES ANY FALSE STATEMENT IN THIS APPLICATION OR SUBMITS ANY FALSIFIED DOCUMENT IN CONNECTION WITH THE APPLICATION FOR LOAN WITH THE SSS SHALL BE LIABLE CRIMINALLY UNDER SECTION 28 OF R.A. 8282 OR UNDER PERTINENT PROVISION OF THE REVISED PENAL CODE OF THE PHILIPPINES.
TERMS AND CONDITIONS FOR SALARY LOAN
(SSC Res. No.:
A.ELIGIBILITY REQUIREMENTS
1.All employed and currently contributing
1.1For a
1.2For a
2.The
3.The
4.The
5.The
B.LOAN AMOUNT
1. A
2.A
3.The net amount of the loan shall be the difference between the approved loan amount and all outstanding balance of
C.REPAYMENT TERM AND SCHEDULE OF PAYMENT
1.The loan shall be payable within two (2) years in 24 equal monthly installments.
2.The monthly amortization shall start on the 2nd month following the date of the granting of the loan, which is due on or before the payment deadline, as follows:
For Employers (ERs) |
For |
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If 10th digit of the |
Payment Deadline |
If 10th (last) digit of the |
Payment Deadline |
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(following the |
(following the |
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ER number ends in: |
SS number ends in: |
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applicable month) |
applicable month or quarter) |
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1 or 2 |
10th day of the month |
1 or 2 |
10th day of the month |
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3 or 4 |
15th day of the month |
3 or 4 |
15th day of the month |
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5 or 6 |
20th day of the month |
5 or 6 |
20th day of the month |
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7 or 8 |
25th day of the month |
7 or 8 |
25th day of the month |
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9 or 0 |
Last day of the month |
9 or 0 |
Last day of the month |
For OFW members, the payment deadline is on or before the 10th day of the month following the applicable month or quarter.
3.Payment shall be made at any SSS branch with automated tellering system,
D.INTEREST AND PENALTY
1.The loan shall be charged an interest rate of 10% per annum until fully paid, based on diminishing principal balance, and shall be amortized over a period of 24 months. If the loan is not fully paid at the end of the term, interest shall continue to be charged on the outstanding principal balance until fully paid. .
2.Interest of 10% shall continue to be charged on the outstanding principal balance until fully paid.
3.Any excess in the amortization payment shall be applied to the outstanding principal balance.
4.Loan amortization not remitted on due date shall bear a penalty of 1% per month.
E.SERVICE FEE
A service fee of 1% of the loan amount shall be charged and deducted from the proceeds of the loan.
F.LOAN RENEWAL
1.Renewal shall be allowed after payment of at least 50% of the original principal amount and at least 50% of the term has lapsed.
2.Proceeds of renewal loan may be any amount greater than or equal to zero, provided that the outstanding balance on the previous loan has been deducted.
G.RESPONSIBILITIES OF THE EMPLOYER
1.The employer shall be responsible for the collection and remittance to the SSS of the amortization due on the
2.The employer shall deduct the total balance of the loan from any benefit/s due to the employee and shall remit the same in full to SSS, in case the
3.The employer shall report to the SSS the effective date of separation from the company and the unpaid loan balance of the employee, through the collection list, if the benefit(s) due the employee is insufficient to fully repay his loan.
4.The employer shall require a new employee to secure from the SSS an updated statement of his account, deduct from his salary the amortization due and remit the payment to SSS.
H.RESPONSIBILITY OF
A
I.DEDUCTION OF UNPAID LOAN FROM BENEFITS (Sickness/Maternity/Partial Disability/Total Disability/Retirement/ Funeral/Death)
In case of default, the arrearages/unpaid loan shall be deducted from the benefits claimed by the member, whichever comes first, as follows:
1.For
2.In case of
J.OTHER CONDITIONS
1.Any overpayment on a previous loan shall be applied to the subsequent loan, if any. Otherwise, the overpayment shall be refunded upon request of the
2.The
R.A.3765, OTHERWISE KNOWN AS "TRUTH IN LENDING ACT"
A DISCLOSURE STATEMENT ON LOAN TRANSACTION SHALL BE ISSUED BY SSS TO THE MEMBER- BORROWER UPON RECEIPT OF HIS LOAN APPLICATION.
Page 1 of 1
LIST OF FILER'S VALID IDENTIFICATION (ID) CARDS/DOCUMENTS
Member Loan Application Form
A.Primary ID Cards/Document
1.Social Security (SS) card
2.Unified
3.Driver's License
4.Passport
5.Professional Regulation Commission (PRC) card
6.Seaman's Book (Seafarer's Identification & Record Book)
B.Secondary ID Cards/Documents
1.Alien Certificate of Registration
2.Certificate of Licensure/Qualification Documents from Maritime Industry Authority
3.Certificate of Muslim Filipino Tribal Affiliation issued by National Commission on Muslim Filipinos
4.Company ID card
5.Credit card
6.Firearm License card issued by Philippine National Police (PNP)
7.Fishworker's License issued by Bureau of Fisheries and Aquatic Resources (BFAR)
8.Government Service Insurance System (GSIS) card/Member's Record/Certificate of Membership
9.Health or Medical card
10.Home Development Mutual Fund
11.ID card issued by Local Government Units (LGUs) (e.g., Barangay/Municipality/City)
12.ID card issued by professional association recognized by PRC
13.Marriage Contract/Marriage Certificate
14.Overseas Worker Welfare Administration (OWWA) card
15.Philippine Health Insurance Corporation (PHIC) ID card
16.Police Clearance
17.Postal ID card
18.School ID card
19.Seafarer's Registration Certificate issued by Philippine Overseas Employment Administration
20.Senior Citizen card
21.Student Permit issued by Land Transportation Office (LTO)
22.Taxpayer's Identification Number (TIN) card
23.Voter's Identification card or Voter's Affidavit/Certificate of Registration
1.Filed by
Present the original copy of any one (1) of the primary ID cards/document in Item A or two (2) secondary ID cards/documents in Item B at least one (1) with signature and photo.
2.Filed by Authorized Representative of
2.1Original copy of any one (1) of the Authorized Representative's primary ID cards/document in Item A or original copies of two (2) secondary ID cards/documents in Item B at least one (1) with signature and photo; and
2.2Original copy of any one (1) of the
3.Filed by Employer Present the following:
3.1Original copy of any one (1) of the Employer's primary ID cards/document in Item A or original copies of two (2) secondary ID cards/documents in Item B at least one (1) signature and photo; and
3.2Original copy of any one (1) of the
4.Filed by Company Representative
Present the Authorized Company Representative Card (ACR Card) or
If without ACR Card (not available at the time of filing), present the following:
4.1Original copy of any one (1) of the Company Representative's primary ID cards/documents in Item A or original copies of two (2) secondary ID cards/documents in Item B at least one (1) with signature and photo; and
4.2Original copy of any one (1) of the
5.Filed by Employer's Representative Present the following:
5.1Original copy of any one (1) of the Employer Representative's primary ID cards/document in Item A or original copies of two (2) secondary ID cards/documents in Item B at least one (1) signature and photo; and
5.2Original copy of any one (1) of the
6.Filed by Household Employer's Representative Present the following:
6.1Original copy of any one (1) of the Household Employer Representative's primary ID cards/document in Item A or original copies of two (2) secondary ID cards/documents in Item B at least one (1) signature and photo; and
6.2Original copy of any one (1) of the
one (1) with signature and photo; and
Note: For security agencies and employers with branches but with centralized filing of loan applications, photocopy of the above cited documents duly certified by the member and authenticated by the authorized company signatory may be accepted.